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1225047541
GRACE BUENAVENTURA
SAN DIEGO, CA
NPI
1225047541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT10478T)
Enumeration Date
2006-08-05
Last Update Date
2013-06-14
Business Address
-- GRACE BUENAVENTURA O.D.
300 FIR ST
SAN DIEGO, CA 92101-2327
Phone number: 619-446-1560
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Mailing Address
-- GRACE BUENAVENTURA O.D.
300 FIR ST
SAN DIEGO, CA 92101-2327
Phone number: 619-446-1560
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